This Plan works the same way as the Classic Plan. It has the highest monthly premiums, but you’ll pay the least out-of-pocket of all the medical options when you receive care from in-network providers.
Here’s how the Plan works:
- You pay copays for doctor and specialist visits, certain other expenses and prescription drugs.
- You pay all other expenses in full until you meet your deductible.
- Once you meet your deductible, you and The University share the cost of covered services.
- If you reach the medical out-of-pocket maximum, the Plan pays 100% of all eligible expenses for the rest of the Plan Year.
- You have the option to see an out-of-network provider, but you will pay more for your care.
Premier Plan Highlights
| In-Network Benefits | |
|---|---|
| Preventive Care | No cost |
| Deductibles | $650 individual/ $1,300 family |
| Annual Out-of-Pocket Maximums | $3,000 individual/ $6,000 family |
| Office Visits | $25 PCP/ $45 specialist |
| Coinsurance for Medical Services | 20% |
| Prescription Drugs | Tier 1: $10 / Tier 2: $50 / Tier 3: $80 |